NISSA SAGE GUSTAFSON

PHILADELPHIA, PA
NPI1508759382
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: PA  SW141961)
Enumeration Date2025-05-31
Last Update Date2025-05-31
Business Address
NISSA SAGE GUSTAFSON LSW
112 E ALLEN ST UNIT 3
PHILADELPHIA, PA 19125-4189
Phone number: 215-278-9444
Mailing Address
NISSA SAGE GUSTAFSON LSW
1107 LINN ST
PHILADELPHIA, PA 19147-6307
Phone number: 845-750-2351